Mtumiaji:Joeangatia/Ugonjwa wa mstari wa mpakani katika jinsi ya kujiona

Joeangatia/Ugonjwa wa mstari wa mpakani katika jinsi ya kujiona
Mwainisho na taarifa za nje
Kundi MaalumuPsychiatry
DaliliUnstable relationships, sense of self, and emotions; impulsivity; recurrent suicidal behavior and self-harm; fear of abandonment; chronic feeling of emptiness; inappropriate anger; feeling detached from reality[1][2]
Miaka ya kawaida inapoanzaEarly adulthood[2]
MudaLong term[1]
VisababishiUnclear[3]
Sababu za hatariFamily history, trauma, abuse[1][4]
Njia ya kuitambua hali hiiBased on reported symptoms[1]
Utambuzi tofautiIdentity disorder, mood disorders, post traumatic stress disorder, substance use disorders, histrionic, narcissistic, or antisocial personality disorder[2][5]
MatibabuBehavioral therapy[1]
Utabiri wa kutokea kwakeImproves over time[2]
Idadi ya utokeaji wake1.6% of people in a given year[1]

Ugonjwa wa mstari wa mpakani katika jinsi ya kujiona yaani, Borderline personality disorder (BPD)), pia unajulikana kama ugonjwa wa kujiona kusio imara wa kihisia yaani, emotionally unstable personality disorder (EUPD),[6] ni ugonjwa wa kiakili unaojulikana na muundo wa muda mrefu wa mahusiano yasiyo imara, hisia potovu za kujihusu mwenyewe, na athari kali za kihisia.[1][2][7] Watu binafsi mara nyingi hujihusisha na kujidhuru na tabia nyingine hatari. [1] Wale walioathirika wanaweza pia kuhangaika na hisia ya utupu, hofu ya kuachwa, na kujitenga na ukweli . [1] Dalili zinaweza kuchochewa na matukio yanayochukuliwa kuwa ya kawaida kwa wengine. [1] Tabia kwa kawaida huanza katika utu uzima wa mapema na hutokea katika hali mbalimbali. [2] Matumizi mabaya ya dawa, unyogovu, na matatizo ya kula mara nyingi huhusishwa na BPD. [1] Takriban 10% ya watu walioathiriwa hufa kwa kujiua . [1] [2]

Sababu za BPD haziko wazi, lakini zinaonekana kuhusisha sababu za kijeni, neva, mazingira, na kijamii. [1] [3] Inatokea mara tano zaidi kwa mtu ambaye ana jamaa wa karibu aliyeathirika. [1] Matukio mabaya ya maisha yanaonekana pia kuwa na jukumu. [4] Utaratibu wa kimsingi unaonekana kuhusisha mtandao wa frontolimbic wa niuroni . [4] BPD inatambuliwa na Mwongozo wa Uchunguzi na Takwimu wa Matatizo ya Akili (DSM) kama ugonjwa wa haiba, pamoja na matatizo mengine tisa kama hayo. [2] Utambuzi unategemea dalili, wakati uchunguzi wa matibabu unaweza kufanywa ili kuondokana na matatizo mengine. [1] Hali lazima itofautishwe na tatizo la utambulisho au matatizo ya matumizi ya dutu, miongoni mwa uwezekano mwingine. [2]

BPD kwa kawaida hutibiwa kwa tiba, kama vile tiba ya utambuzi wa tabia (CBT) au tiba ya tabia ya dialectical (DBT). [1] DBT inaweza kupunguza hatari ya kujiua. [1] Tiba inaweza kutokea moja kwa moja au kwa kikundi . [1] Ingawa dawa hazitibu BPD, zinaweza kutumika kusaidia na dalili zinazohusiana. [1] Watu wengine wanahitaji huduma ya hospitali. [1]

Takriban 1.6% ya watu wana BPD katika mwaka fulani, na makadirio mengine yanafikia 6%. [1] [2] Wanawake hugunduliwa mara tatu zaidi kuliko wanaume. [2] Inaonekana kuwa chini ya kawaida kati ya watu wazee. [2] Hadi nusu ya watu huboreka katika kipindi cha miaka kumi. [2] Watu walioathirika kwa kawaida hutumia kiasi kikubwa cha rasilimali za afya. [2] Kuna mjadala unaoendelea kuhusu kutaja ugonjwa huo, hasa ufaafu wa neno mpaka . [1] Ugonjwa huo mara nyingi hunyanyapaliwa katika vyombo vya habari na uwanja wa magonjwa ya akili. [8]

 

Marejeleo

hariri
  1. 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 "Borderline Personality Disorder". NIMH. Ilihifadhiwa kwenye nyaraka kutoka chanzo mnamo 22 Machi 2016. Iliwekwa mnamo 16 Machi 2016.{{cite web}}: CS1 maint: date auto-translated (link) Hitilafu ya kutaja: Invalid <ref> tag; name "NIH2016" defined multiple times with different content
  2. 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11 2.12 2.13 Diagnostic and statistical manual of mental disorders : DSM-5 (tol. la 5th). Washington, D.C.: American Psychiatric Publishing. 2013. ku. 645, 663–6. ISBN 978-0-89042-555-8.
  3. 3.0 3.1 Clinical Practice Guideline for the Management of Borderline Personality Disorder. Melbourne: National Health and Medical Research Council. 2013. ku. 40–41. ISBN 978-1-86496-564-3. In addition to the evidence identified by the systematic review, the Committee also considered a recent narrative review of studies that have evaluated biological and environmental factors as potential risk factors for BPD (including prospective studies of children and adolescents, and studies of young people with BPD)
  4. 4.0 4.1 4.2 Leichsenring F, Leibing E, Kruse J, New AS, Leweke F (Januari 2011). "Borderline personality disorder". Lancet. 377 (9759): 74–84. doi:10.1016/s0140-6736(10)61422-5. PMID 21195251.{{cite journal}}: CS1 maint: date auto-translated (link)
  5. "Borderline Personality Disorder Differential Diagnoses". emedicine.medscape.com. Ilihifadhiwa kwenye nyaraka kutoka chanzo mnamo 29 Aprili 2011. Iliwekwa mnamo 10 Machi 2020.{{cite web}}: CS1 maint: date auto-translated (link)
  6. Borderline personality disorder NICE Clinical Guidelines, No. 78. British Psychological Society. 2009. Ilihifadhiwa kwenye nyaraka kutoka chanzo mnamo 12 Novemba 2020. Iliwekwa mnamo 5 Agosti 2020.{{cite book}}: CS1 maint: date auto-translated (link)
  7. Chapman, Alexander L. (Agosti 2019). "Borderline personality disorder and emotion dysregulation". Development and Psychopathology (kwa Kiingereza). 31 (3). Cambridge, England: Cambridge University Press: 1143–1156. doi:10.1017/S0954579419000658. ISSN 0954-5794. PMID 31169118. Ilihifadhiwa kwenye nyaraka kutoka chanzo mnamo 4 Desemba 2020. Iliwekwa mnamo 5 Agosti 2020.{{cite journal}}: CS1 maint: date auto-translated (link)
  8. Aviram RB, Brodsky BS, Stanley B (2006). "Borderline personality disorder, stigma, and treatment implications". Harvard Review of Psychiatry. 14 (5): 249–56. doi:10.1080/10673220600975121. PMID 16990170.